Therapists in Heritage, San Antonio, TX

Photo of Maria Bouharb, Licensed Professional Counselor in Heritage, San Antonio, TX
Maria Bouharb
Licensed Professional Counselor, LPC, NCC, ACS
Verified Verified
1 Endorsed
Heritage, San Antonio, TX 78245  (Online Only)
I am a Licensed Professional Counselor and an Approved Clinical Supervisor. I have extensive experience providing services for individuals dealing with elevated stress and anxiety. I actively worked with military personnel for the past 12 years.
I am a Licensed Professional Counselor and an Approved Clinical Supervisor. I have extensive experience providing services for individuals dealing with elevated stress and anxiety. I actively worked with military personnel for the past 12 years.
(210) 361-8049 View (210) 361-8049
Photo of Susie Chavarria-Torres, Marriage & Family Therapist in Heritage, San Antonio, TX
Susie Chavarria-Torres
Marriage & Family Therapist, MS, LMFT, LPC
Verified Verified
Heritage, San Antonio, TX 78245
Life is a Journey with many paths. Sometimes life can get a little messy and help is needed. Whether you are looking for coping skills to manage your life better, or to identify healthy communications styles within a relationships, or a need to identify negative behavior patterns within yourself or a relationship. I will work directly with you to achieve your goal. Together, we will explore your current situation. I provide a safe, welcoming environment where clients can feel comfortable to share, self-discover and experiment with new ideas and tools. To keep you moving along the journey of life.
Life is a Journey with many paths. Sometimes life can get a little messy and help is needed. Whether you are looking for coping skills to manage your life better, or to identify healthy communications styles within a relationships, or a need to identify negative behavior patterns within yourself or a relationship. I will work directly with you to achieve your goal. Together, we will explore your current situation. I provide a safe, welcoming environment where clients can feel comfortable to share, self-discover and experiment with new ideas and tools. To keep you moving along the journey of life.
(210) 405-4246 View (210) 405-4246
Photo of Caroline Chemwor Mkubwa, Clinical Social Work/Therapist in Heritage, San Antonio, TX
Caroline Chemwor Mkubwa
Clinical Social Work/Therapist, LMSW
Verified Verified
Heritage, San Antonio, TX 78245  (Online Only)
A teenager with history of poor social skills, diagnosed with developmental delay, psychosis nos, anxiety issues and diagnosis of schizophrenia and Bipolar. Also depression and autism.This are the presenting issues that the teenager has to deal with throughout his/her life. Sometimes the teenager have a psychosis episode and sometimes on denial.
A teenager with history of poor social skills, diagnosed with developmental delay, psychosis nos, anxiety issues and diagnosis of schizophrenia and Bipolar. Also depression and autism.This are the presenting issues that the teenager has to deal with throughout his/her life. Sometimes the teenager have a psychosis episode and sometimes on denial.
(210) 942-0793 View (210) 942-0793
Photo of Eric Joseph Houin Jr, Clinical Social Work/Therapist in Heritage, San Antonio, TX
Eric Joseph Houin Jr
Clinical Social Work/Therapist, MSW, LCSW-S
Verified Verified
Heritage, San Antonio, TX 78245
Eric Houin, Jr. is a Licensed Clinical Social Worker, Texas Board Approved Supervisor, and psychotherapist who is currently Texas licensed as an LCSW and has completed his Masters of Social Work degree from Louisiana State University located in Baton Rouge, Louisiana. Eric has over 20 years of clinical counseling experience and has worked in an outpatient therapy settings with children, adolescents, adults, families, and couples. During his time as a behavioral health therapist Eric has helped: families, couples, adults, men, women, children, and adolescents.
Eric Houin, Jr. is a Licensed Clinical Social Worker, Texas Board Approved Supervisor, and psychotherapist who is currently Texas licensed as an LCSW and has completed his Masters of Social Work degree from Louisiana State University located in Baton Rouge, Louisiana. Eric has over 20 years of clinical counseling experience and has worked in an outpatient therapy settings with children, adolescents, adults, families, and couples. During his time as a behavioral health therapist Eric has helped: families, couples, adults, men, women, children, and adolescents.
(210) 899-6362 View (210) 899-6362
Photo of Serena Watts-Kumar, Licensed Professional Counselor in Heritage, San Antonio, TX
Serena Watts-Kumar
Licensed Professional Counselor, MA, LPC, CCST
Verified Verified
Heritage, San Antonio, TX 78245
Not accepting new clients
Welcome! I believe that therapy should be about creating lasting insights that will help change your life and relationships and bring you to a happier, more peaceful place. I have been a licensed therapist/counselor for the past 13 years and working in the mental health field for over 21 years. My goal is to create a safe and interactive environment to dig deeper into hard topics. My personal motto is, “we leave no stone unturned”. My specialty populations include women in high stress leadership roles, and those dealing with anxiety, depression, trauma, and post abortion grief.
Welcome! I believe that therapy should be about creating lasting insights that will help change your life and relationships and bring you to a happier, more peaceful place. I have been a licensed therapist/counselor for the past 13 years and working in the mental health field for over 21 years. My goal is to create a safe and interactive environment to dig deeper into hard topics. My personal motto is, “we leave no stone unturned”. My specialty populations include women in high stress leadership roles, and those dealing with anxiety, depression, trauma, and post abortion grief.
(210) 538-6348 View (210) 538-6348
Photo of Bioenergetic Healing Psychotherapist, Licensed Professional Counselor in Heritage, San Antonio, TX
Bioenergetic Healing Psychotherapist
Licensed Professional Counselor, LPC, NCC, CHT
Verified Verified
Heritage, San Antonio, TX 78245
My role in psychotherapy is simple. I work as a guide to help lead clients from 3rd dimensional consciousness to new levels of awareness. With the support of my guiding system and those of my clients', I act as a conduit to bring the information and energies that are needed in that point in time for the client's highest good. My approach is spiritual and energy psychology. It is based on the premise that all illness is mental illness and all healing must begin in psychotherapy.
My role in psychotherapy is simple. I work as a guide to help lead clients from 3rd dimensional consciousness to new levels of awareness. With the support of my guiding system and those of my clients', I act as a conduit to bring the information and energies that are needed in that point in time for the client's highest good. My approach is spiritual and energy psychology. It is based on the premise that all illness is mental illness and all healing must begin in psychotherapy.
(210) 625-7633 View (210) 625-7633
Photo of Candiss Williams, Licensed Professional Counselor in Heritage, San Antonio, TX
Candiss Williams
Licensed Professional Counselor, MS, LPC
Verified Verified
Heritage, San Antonio, TX 78245  (Online Only)
Virtual Only: I specialize in providing clients with a unique approach to helping them reach specific life goals. I will help you recognize problems and take action to decrease or eliminate potential impacts to your emotional well-being. My customized approach, tailored to individual needs, allows me to help you create achievable goals that are based on your needs and lifestyle. I use state-of-the-art tools to identify your issues easily and effectively. I am committed to helping you make fluid movement in your life. I am licensed to provide services in 3 states:Texas, Missouri and Minnesota.
Virtual Only: I specialize in providing clients with a unique approach to helping them reach specific life goals. I will help you recognize problems and take action to decrease or eliminate potential impacts to your emotional well-being. My customized approach, tailored to individual needs, allows me to help you create achievable goals that are based on your needs and lifestyle. I use state-of-the-art tools to identify your issues easily and effectively. I am committed to helping you make fluid movement in your life. I am licensed to provide services in 3 states:Texas, Missouri and Minnesota.
(210) 405-2891 View (210) 405-2891
Photo of Dr. Waynette Turner, Licensed Professional Counselor in Heritage, San Antonio, TX
Dr. Waynette Turner
Licensed Professional Counselor, EdD, LPC, NCC, CCTP, MCM
Verified Verified
4 Endorsed
Heritage, San Antonio, TX 78245
Do you often feel self-conscious, anxious or worried about situations you cannot control? Let me help you to overcome challenges, grow stronger and more skillful. There are some life challenges we feel ill-equipped to handle, especially when they accompany major life transitions. These experiences can greatly impact our sense of stability, leave us feeling incapable and even doubtful about the future. I am committed to providing you with honest, respectful and thoughtful treatment to best serve your needs. I seek to help individuals, who feel stuck due to negative past experiences or trauma.
Do you often feel self-conscious, anxious or worried about situations you cannot control? Let me help you to overcome challenges, grow stronger and more skillful. There are some life challenges we feel ill-equipped to handle, especially when they accompany major life transitions. These experiences can greatly impact our sense of stability, leave us feeling incapable and even doubtful about the future. I am committed to providing you with honest, respectful and thoughtful treatment to best serve your needs. I seek to help individuals, who feel stuck due to negative past experiences or trauma.
(830) 240-7821 View (830) 240-7821
Vanessa Romero
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Heritage, San Antonio, TX 78245  (Online Only)
First, I commend you for taking the next step in your self-care journey. Often times people seek support to find clarity about a situation(s) in their life, to make sense of the way they are feeling, to find relief from symptoms of anxiety and depression, and to find a safe and supportive environment to be seen and heard, and ultimately hearing their true self. If you have been in therapy before and are looking to maximize the benefits of your work, EMDR is a very helpful modality that provide quick results. Please inquire about EMDR if you are interested.
First, I commend you for taking the next step in your self-care journey. Often times people seek support to find clarity about a situation(s) in their life, to make sense of the way they are feeling, to find relief from symptoms of anxiety and depression, and to find a safe and supportive environment to be seen and heard, and ultimately hearing their true self. If you have been in therapy before and are looking to maximize the benefits of your work, EMDR is a very helpful modality that provide quick results. Please inquire about EMDR if you are interested.
(210) 941-3651 View (210) 941-3651
Photo of Mikah Watford, Licensed Professional Counselor in Heritage, San Antonio, TX
Mikah Watford
Licensed Professional Counselor, LPC, LCDC, ACCTS
Verified Verified
Heritage, San Antonio, TX 78245
I am an Advanced Clinical Trauma Specialist providing evidence-based treatments for trauma including EMDR. Accelerated Resolution Therapy, and Cognitive Processing therapy. In person and Telehealth sessions available.
I am an Advanced Clinical Trauma Specialist providing evidence-based treatments for trauma including EMDR. Accelerated Resolution Therapy, and Cognitive Processing therapy. In person and Telehealth sessions available.
(210) 879-1798 View (210) 879-1798
Photo of Maria Ramirez, Licensed Professional Counselor in Heritage, San Antonio, TX
Maria Ramirez
Licensed Professional Counselor, MA, LPC
Verified Verified
Heritage, San Antonio, TX 78245
My name is Maria Ramirez, an English/Spanish LPC focused on building strong therapeutic relationships and using proven effective interventions to help my clients identify, challenge, and replace unhealthy thinking patterns and behaviors that hold them back or prevent them from achieving wellness. When you're feeling stuck and unsure of where to start, taking the first step toward healing can be one of the most difficult things to do. Know that by being here you have already accomplished so much. If you allow me, I'd like to help you through the next steps of the process in a safe, nonjudgmental, honest, and fully supportive space.
My name is Maria Ramirez, an English/Spanish LPC focused on building strong therapeutic relationships and using proven effective interventions to help my clients identify, challenge, and replace unhealthy thinking patterns and behaviors that hold them back or prevent them from achieving wellness. When you're feeling stuck and unsure of where to start, taking the first step toward healing can be one of the most difficult things to do. Know that by being here you have already accomplished so much. If you allow me, I'd like to help you through the next steps of the process in a safe, nonjudgmental, honest, and fully supportive space.
(210) 934-7576 View (210) 934-7576
Photo of Marcia Nilson-Blake, Clinical Social Work/Therapist in Heritage, San Antonio, TX
Marcia Nilson-Blake
Clinical Social Work/Therapist, LCSW
Verified Verified
Heritage, San Antonio, TX 78245
Hi there! I’m Marcia Nilson-Blake, a licensed therapist/mental health professional with a wealth of experience working with children up to and including our elderly population. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialogue and treatment plan to meet your unique and specific needs. Taking the first step to reach out and sign up for a counseling session is courageous! I have many therapeutic strategies to assist with feeling some relief in the first session. I look forward to working with you!
Hi there! I’m Marcia Nilson-Blake, a licensed therapist/mental health professional with a wealth of experience working with children up to and including our elderly population. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialogue and treatment plan to meet your unique and specific needs. Taking the first step to reach out and sign up for a counseling session is courageous! I have many therapeutic strategies to assist with feeling some relief in the first session. I look forward to working with you!
(281) 519-2670 View (281) 519-2670
Photo of Becca M Garza, Licensed Professional Counselor in Heritage, San Antonio, TX
Becca M Garza
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Heritage, San Antonio, TX 78245
I am a Licensed Professional Counselor and a current School Counselor. Working with adolescents and young adults has always been a passion of mine. I have 15 years of experience working within this age range.
I am a Licensed Professional Counselor and a current School Counselor. Working with adolescents and young adults has always been a passion of mine. I have 15 years of experience working within this age range.
(210) 806-7093 View (210) 806-7093
Photo of Becca Marie Doll, Licensed Professional Counselor in Heritage, San Antonio, TX
Becca Marie Doll
Licensed Professional Counselor, LPC
Verified Verified
Heritage, San Antonio, TX 78245  (Online Only)
I am an LPC and I have a passion for working with young adults, couples, the LGBTQ+ community, neurodivergent folks and those who have experienced trauma. For those who desire to have an extremely open, non-judgmental counselor help you work through whatever they are going through, I would be honored to help you.
I am an LPC and I have a passion for working with young adults, couples, the LGBTQ+ community, neurodivergent folks and those who have experienced trauma. For those who desire to have an extremely open, non-judgmental counselor help you work through whatever they are going through, I would be honored to help you.
(405) 963-3491 View (405) 963-3491
Photo of Brenda Keirns, Licensed Professional Counselor in Heritage, San Antonio, TX
Brenda Keirns
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Heritage, San Antonio, TX 78245  (Online Only)
Are you struggling with past traumas or navigating life changes and challenging relationships? You're not alone. I'm here to offer a helping hand and a compassionate ear on your journey toward healing and growth. As a dedicated therapist specializing in trauma and relationships, I am deeply passionate about supporting individuals like you through life's toughest moments. My commitment to mental health stems from a genuine desire to see people thrive. I believe every individual has the strength and resilience to overcome their obstacles and I'm here to help you tap into your inner strength.
Are you struggling with past traumas or navigating life changes and challenging relationships? You're not alone. I'm here to offer a helping hand and a compassionate ear on your journey toward healing and growth. As a dedicated therapist specializing in trauma and relationships, I am deeply passionate about supporting individuals like you through life's toughest moments. My commitment to mental health stems from a genuine desire to see people thrive. I believe every individual has the strength and resilience to overcome their obstacles and I'm here to help you tap into your inner strength.
(719) 249-5047 View (719) 249-5047
Photo of Tiffany Ford, Licensed Professional Counselor in Heritage, San Antonio, TX
Tiffany Ford
Licensed Professional Counselor, MEd, MA, LPC, NCC
Verified Verified
1 Endorsed
Heritage, San Antonio, TX 78245  (Online Only)
Not accepting new clients
Do you have trouble just getting out of bed? Is it a challenge to fall asleep? Are you feeling tired, unmotivated or directionless? Have you been avoiding people or activities that once brought you joy? Imagine if you didn’t have to feel this way. It can be a challenge, but people do find their joy again. I offer effective counseling using a combination of techniques derived from Humanistic and Cognitive Behavior Therapy (CBT) approaches. I help you explore how your worldview affects the choices you make, especially choices that cause distress.
Do you have trouble just getting out of bed? Is it a challenge to fall asleep? Are you feeling tired, unmotivated or directionless? Have you been avoiding people or activities that once brought you joy? Imagine if you didn’t have to feel this way. It can be a challenge, but people do find their joy again. I offer effective counseling using a combination of techniques derived from Humanistic and Cognitive Behavior Therapy (CBT) approaches. I help you explore how your worldview affects the choices you make, especially choices that cause distress.
(409) 377-6658 View (409) 377-6658
Photo of Melaney Bright, Clinical Social Work/Therapist in Heritage, San Antonio, TX
Melaney Bright
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Heritage, San Antonio, TX 78245  (Online Only)
You never imagined spirituality or faith could produce heartache and turmoil in your life. Something that once invoked peace and strength for you, perhaps now prompts questions and uncertainty. It is ok to reevaluate what you believe, and determine how your current values fit into your present life situation! Sometimes new experiences, personal growth and increased awareness can shed light on how your old thoughts, feelings and emotions are no longer serving you well. Maybe you are struggling with how to handle others’ responses to the changes you have made in your life.
You never imagined spirituality or faith could produce heartache and turmoil in your life. Something that once invoked peace and strength for you, perhaps now prompts questions and uncertainty. It is ok to reevaluate what you believe, and determine how your current values fit into your present life situation! Sometimes new experiences, personal growth and increased awareness can shed light on how your old thoughts, feelings and emotions are no longer serving you well. Maybe you are struggling with how to handle others’ responses to the changes you have made in your life.
(281) 336-8847 View (281) 336-8847
Photo of Susana Castillo, Licensed Professional Counselor in Heritage, San Antonio, TX
Susana Castillo
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Heritage, San Antonio, TX 78245  (Online Only)
You may be feeling lost, confused, scared, and hopeless with the circumstances in life. You have tried talking to friends, reading books, and even going on YouTube for answers. All the information gained may help for awhile but doesn't quite do it for you. There may be sleepless nights, crying spells, unable to sit still, and wondering, "What is wrong with me?"
You may be feeling lost, confused, scared, and hopeless with the circumstances in life. You have tried talking to friends, reading books, and even going on YouTube for answers. All the information gained may help for awhile but doesn't quite do it for you. There may be sleepless nights, crying spells, unable to sit still, and wondering, "What is wrong with me?"
(210) 706-0567 View (210) 706-0567
Photo of Mary Moseley, Licensed Professional Counselor in Heritage, San Antonio, TX
Mary Moseley
Licensed Professional Counselor, MEd, LPC-S, NCC
Verified Verified
Heritage, San Antonio, TX 78245
As a Licensed Professional Counselor Supervisor with more than fifteen years of counseling experience, I provide professional Christian counseling for children, teens, adult individuals, couples, and families facing a variety of concerns including abandonment issues, anxiety, depression, trauma, grief, relationship issues, and much more. I offer a compassionate, welcoming space where you can share your concerns and learn effective techniques to overcome the challenges you face. As your counselor, I’m here to tell you that there’s so much hope and life on the other side of what you are experiencing.
As a Licensed Professional Counselor Supervisor with more than fifteen years of counseling experience, I provide professional Christian counseling for children, teens, adult individuals, couples, and families facing a variety of concerns including abandonment issues, anxiety, depression, trauma, grief, relationship issues, and much more. I offer a compassionate, welcoming space where you can share your concerns and learn effective techniques to overcome the challenges you face. As your counselor, I’m here to tell you that there’s so much hope and life on the other side of what you are experiencing.
(210) 940-4379 View (210) 940-4379
Photo of Roxanne J Collins, Licensed Professional Counselor in Heritage, San Antonio, TX
Roxanne J Collins
Licensed Professional Counselor, MA , LPC
Verified Verified
Heritage, San Antonio, TX 78245  (Online Only)
I primarily work with Teens (16+) through adults who are working through major life changes, challenges, and realizations. My primary objective with my clients is to help individuals reach their desired outcomes by coupling my knowledge, professional experience, and therapeutic approach with their personal strengths, resources, and knowledge. I am the ideal therapist for anyone and everyone looking to engage with a patient, understanding, balanced, non-judgmental, and insightful counselor to assist them on their personal growth journey.
I primarily work with Teens (16+) through adults who are working through major life changes, challenges, and realizations. My primary objective with my clients is to help individuals reach their desired outcomes by coupling my knowledge, professional experience, and therapeutic approach with their personal strengths, resources, and knowledge. I am the ideal therapist for anyone and everyone looking to engage with a patient, understanding, balanced, non-judgmental, and insightful counselor to assist them on their personal growth journey.
(210) 953-5806 View (210) 953-5806

How does your Therapist compare?

Number of Therapists in Heritage, San Antonio, TX

40+

Average cost per session

$120

Therapists in Heritage, San Antonio, TX who prioritize treating:

98% Depression
98% Anxiety
92% Self Esteem
88% Stress
85% Coping Skills
83% Relationship Issues
75% Trauma and PTSD

Average years in practice

7 Years

Top 3 insurances accepted

89% Aetna
86% BlueCross and BlueShield
86% UnitedHealthcare UHC | UBH

How Therapists in Heritage, San Antonio, TX see their clients

54% Online Only
46% In Person and Online

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Heritage, San Antonio?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.